As of the July, 2022, release via CMS

TEXAS HEALTH H-E-B

CMS id: 450639
1600 HOSPITAL PKWY, BEDFORD TX 76021. County: TARRANT
System: TEXAS HEALTH RESOURCES
CBSA: Dallas-Fort Worth-Arlington, TX

The 251-bed, acute-care hospital had $5,642,621 in net service to patients*, with a total profit margin of 5.36518% in fiscal year 2021, the latest year available.
It spent 10.12% of its operating expenses on uncompensated care and reported $477,468 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	149 118	149 118	167 119.5	151 118	151 119
Total beds Median	249 162	249 162	247 162	251 162	251 163.5
FTEs Median	1,239.76 788.06	1,225.02 793.42	1,166.39 806.03	1,133.68 787.61	1,196.96 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	240,725,332 150,932,746	232,514,013 158,950,878	254,815,570 168,696,998	227,851,025 163,454,693	272,704,239 186,589,412
Operating expenses Median	248,208,010 149,311,209	243,030,650 156,110,414	247,376,585 164,890,568	236,273,454 166,516,854	267,061,618 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,482,678 -964,173	-10,516,637 -643,601.5	7,438,985 -116,254	-8,422,429 -5,025,862	5,642,621 -1,284,564
NS2P margin ? Median	-3.11% -0.62	-4.52% -0.29	2.92% 0.18	-3.70% -5.07	2.07% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TEXAS HEALTH H-E-B compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	12,876,196 5,089,215	10,781,654 4,572,541	3,607,049 5,268,134	18,678,073 13,092,619	9,498,054 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	9,841 299,524	9,898 188,688.5	14,853 370,813	17,519 309,361.5	-3,963 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	12,866,355	10,771,756	3,592,196	18,660,554	9,502,017
Total income ? Median	5,393,518 6,586,430	265,017 6,767,106	11,046,034 8,419,950	10,255,644 8,094,175	15,140,675 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	5,393,518 6,043,842	265,017 5,845,112	11,046,034 7,606,259	10,255,644 7,283,041	15,140,675 14,957,241
Net margin Median	2.12677% 4.62%	0.10893% 4.42%	4.27441% 5.16%	4.16001% 5.2%	5.36518% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for TEXAS HEALTH H-E-B compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	30,612,475 23,241,334	29,384,517 23,709,545	28,782,904 24,248,380	31,416,897 22,858,541	33,399,382 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	30,335,999 21,577,146	28,829,183 22,041,594	28,343,338 22,722,063	30,685,637 21,570,441	32,834,610 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	276,476 1,845,420	555,334 1,757,392	439,566 1,738,842	731,260 1,510,463	564,772 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	12,295,835 11,160,864	12,079,374 11,987,345	13,414,075 12,926,866	10,181,151 11,884,480	10,699,240 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	12,295,835 10,918,923	12,079,374 11,706,976	13,414,075 12,615,917	10,181,151 11,458,116	10,699,240 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	352,918 594,888	482,549 595,761	400,432 577,894	488,116 542,168	335,095 549,667
Outlier Median	932,360 582,572	397,888 538,116	66,635 212,434	62,983 126,559	69,788 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	3,276,420 4,643,908	477,468 4,389,147
Charity care Median	9,778,093 2,654,636	9,208,520 2,940,659	10,496,418 3,380,215	16,483,358 3,488,738	20,916,318 3,233,405
Uncompensated care (UCC) Median	15,348,495 5,147,790	15,277,922 5,337,617	16,088,096 5,711,082	26,289,459 5,923,418	27,032,167 5,508,107
UCC as a % of operating expenses Median	6.18% 3.24	6.29% 3.12	6.50% 3.21	11.13% 3.3	10.12% 2.86
Total shortfall/UCC Median	15,348,495 9,489,989	15,277,922 9,424,297	16,088,096 10,120,158	29,565,879 11,171,337	27,509,635 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	94,161,962 52,142,039	94,080,105 54,485,252	93,253,833 57,395,589	93,370,056 58,830,919	99,082,616 61,722,907
Salaries as a % of operating expenses Median	37.94 36.68	38.71 36.56	37.70 36.37	39.52 35.93	37.10 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,334,930 1,449,244	2,217,273 1,475,986	1,101,836 1,563,078	586,731 1,721,954	1,870,890 2,991,828
Contract hours, direct-care Median	34,578.53 22,725	33,125.00 23,018.5	14,773.46 24,503.48	7,826.43 25,026.5	21,671.00 33,786
Contract wages, direct-care Median	67.53 64.67	66.94 64.53	74.58 65.06	74.97 68.97	86.33 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.